MEDICARE: 4PATH LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1508825373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	4PATH LTD

Provider Business Mailing Address
First Line	:	1919 S HIGHLAND AVE STE 210
Second Line	:
City	:	LOMBARD
State	:	IL
Zip	:	60148-6153
Country	:	US
Telephone Number	:	800-927-0002
Fax Number	:	603-261-2143

Provider Business Practice Location Address
First Line	:	16W343 83RD ST STE D
Second Line	:
City	:	BURR RIDGE
State	:	IL
Zip	:	60527-7950
Country	:	US
Telephone Number	:	877-884-7284
Fax Number	:

Authorized Official
Title or Position	:	OWNER, PRESIDENT
Name	:	DEBORAH GIUSTO
Credential	:	M.D.
Telephone Number	:	877-884-7284

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	12/08/2025

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